Print Violation: 00156196-AP-123790

Provider Information

Churchill Retirement Assisted Living

3800 WESTLEIGH ST.
Eugene, OR 97405

Date: 8/19/2021
Report number: 00156196-AP-123790
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: An investigation determined that from July 7, 2021 to August 13, 2021, Alleged Victim (AV) had nine separate falls with six of the nine falls causing AV injury. Of the most recent fall, AV slipped out of his her/bed and it was noted that AV had on slippery socks after AV's family had purchased socks with grips and after it was reported that all non-grip socks had been removed from AV's room. This fall required AV to be sent to the hospital for treatment which resulted in AV having surgery due to a fracture to AV's hip. The facility failure to provide basic care to AV which resulted in physical harm and unreasonable discomfort is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP22-00236 $500.00 fine assessed